Interactive CardioVascular and Thoracic Surgery
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1636 records returned
Feasibility of ablation as an alternative to surgical metastasectomy in patients with unresectable sarcoma pulmonary metastases [Case report - Thoracic oncologic]
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Percutaneous radiofrequency ablation (RFA) is an alternate treatment modality for pulmonary metastasis in non-surgical candidates. Four patients not suitable for surgery underwent percutaneous RFA for pulmonary metastases from leiomyosarcoma. Success of RFA was assessed with computed tomography (CT). The median length from the radiographic diagnosis of metastatic pulmonary disease (CT-scan) from the primary tumor diagnosis was 67.0 months with a range of 15.0–81.0 months. The median disease free interval following RFA was 19.0 months with a range of 4.0–35.0 months. Three of four patients un...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ding, J. H., Chua, T. C., Glenn, D., Morris, D. L. Tags: Case report - Thoracic oncologic Source Type: journals
Splenic tear causing a hemoperitoneum after cardiac surgery [Case report - Cardiac general]Email this article to a colleague.
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We describe the first case of hemoperitoneum caused by a spontaneous rupture of the spleen. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ceresa, F., Francio, G., Aldo Intili, P., Patane, F. Tags: Case report - Cardiac general Source Type: journals
Syncope triggered by a giant unruptured sinus of Valsalva aneurysm [Case report - Cardiac general]Email this article to a colleague.
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We report a case of a single unruptured sinus of Valsalva aneurysm of a 54-year-old woman. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Matteucci, M. L.S., Rescigno, G., Capestro, F., Torracca, L. Tags: Case report - Cardiac general Source Type: journals
Splenic injury following diaphragmatic plication: an avoidable life-threatening complication [Case report - Thoracic non-oncologic]Email this article to a colleague.
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We report an unusual complication of left-sided diaphragmatic plication, namely bleeding from the spleen due to tearing of adhesions between the spleen and the abdominal aspect of the diaphragm. We believe that making a small incision in the diaphragm prior to the plication to identify and divide the adhesions could have prevented the complication, and that this manoeuvre should be a standard part of the operation. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pathak, S., Page, R. D. Tags: Case report - Thoracic non-oncologic Source Type: journals
Peripheral venous embolized intracardiac foreign body [Case report - Cardiac general]Email this article to a colleague.
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We report a case of a peripheral venous embolized intracardiac metal foreign body after traumatic elbow injury. A review of the literature is therefore performed. Intracardiac foreign body removal must be considered when its diameter exceeds 5 mm, its shape is irregular or when symptomatic. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Marcello, P., Garcia-Bordes, L., Mendez Lopez, J. M. Tags: Case report - Cardiac general Source Type: journals
Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis [Case report - Esophagus]Email this article to a colleague.
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We describe an unusual case of a young man with eosinophilic esophagitis who presented complaining of acute retrosternal pain, fever and vomiting. After a thorough evaluation including CT-scan and esophagogram, circumferential esophageal dissection and mediastinal abscess without visible perforation was observed. Abscess resolution and oral nutrition reintroduction was achieved with non-surgical management. Corticoid therapy was initiated for esophagitis treatment. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Quiroga, J., Prim, J. M. G., Moldes, M., Ledo, R. Tags: Case report - Esophagus Source Type: journals
Crutch-induced bilateral brachial artery aneurysms [Case report - Vascular general]Email this article to a colleague.
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A 57-year-old man, who was a chronic axillary crutch user as a result of childhood poliomyelitis, was referred to our hospital because of a sudden onset of right forearm ischemia. The right forearm had no pulse, and three-dimensional computed tomography (3DCT) showed an aneurysm of the right brachial artery associated with arterial occlusion. The thrombosed aneurysm of the brachial artery was resected and the brachial artery was successfully revascularized by interposing a saphenous vein graft. Postoperative 3DCT revealed an asymptomatic left brachial artery aneurysm. His postoperative course was uneventful under warfarin ...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Konishi, T., Ohki, S.-i., Saito, T., Misawa, Y. Tags: Case report - Vascular general Source Type: journals
Surgical treatment of a rare case of tracheal inflammatory pseudotumor in pediatric age [Case report - Thoracic oncologic]Email this article to a colleague.
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We report the case of a 12-year-old male patient who presented to our institution with sudden dyspnoea after some months of wheezing and cough, wrongly considered and treated as asthma. Neck-chest CT-scan and fiberbronchoscopy showed an intraluminal tracheal mass, originating from the left antero-lateral wall at the level of the 5th cartilagineous tracheal ring, involving three rings, that was removed by rigid bronchoscopy. Histopathology revealed a tracheal IPT. Due to rapid tendency to recurrence of the lesion, two more endoscopic recanalizations were performed, but a new recurrence appeared, with CT evidence of transmur...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: De Palma, A., Loizzi, D., Sollitto, F., Loizzi, M. Tags: Case report - Thoracic oncologic Source Type: journals
Concurrent benign schwannoma of oesophagus and posterior mediastinum [Case report - Thoracic oncologic]Email this article to a colleague.
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A 52-year-old female with recent onset dysphagia and haematemesis was found to have an intramural tumour of the oesophagus. A separate tumour in the posterior mediastinum was also detected. Both the tumours were immunohistochemically and histomorphologically compatible with benign schwannoma. Oesophageal schwannoma is extremely rare and its association with a concurrent schwannoma in posterior mediastinum is not reported earlier in the literature. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Dutta, R., Kumar, A., Jindal, T., Tanveer, N. Tags: Case report - Thoracic oncologic Source Type: journals
Hamartoma of mature cardiac myocytes of the pulmonary infundibulum [Case report - Cardiac general]Email this article to a colleague.
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We describe the incidental finding and treatment of a very rare and voluminous cardiac tumour located near to the pulmonary infundibulum. The mass was surgically resected and final diagnosis was hamartoma of mature cardiac myocytes. Postoperative course was uneventful and the patient is asymptomatic after six months of follow-up. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Galeone, A., Validire, P., Gayet, J.-B., Laborde, F. Tags: Case report - Cardiac general Source Type: journals
Primary synovial sarcoma of the lung as an incidental finding [Case report - Thoracic oncologic]Email this article to a colleague.
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Synovial sarcoma of the lung (SSL) is a very rare but aggressive primary lung tumor. Due to its unusual histological features, it can easily be misdiagnosed, if only small biopsies of the tumor are investigated. Here, we review two recent cases of SSL diagnosed and treated in our institution. The first case is a 37-year-old male with a round nodule in the right lower lobe; he underwent a lobectomy. Histologically, the nodule resembled a biphasic tumor. Cytogenetic analysis revealed a translocation t (X; 18), and the diagnosis of primary SSL could be established. The patient is alive and disease-free since 45 months fo...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Watzka, S. B., Setinek, U., Prosch, H., Muller, M. R. Tags: Case report - Thoracic oncologic Source Type: journals
eComment: Heparin-induced thrombocytopenia [eComment]Email this article to a colleague.
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(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bockeria, L., Samsonova, N., Klimovich, L. Tags: eComment Source Type: journals
Heparin induced thrombocytopenia in a patient with factor V Leiden following cardiac surgery [Case report - Vascular general]Email this article to a colleague.
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We report a patient who died as a result of heparin induced thrombocytopenia (HIT) and arterial thromboses following cardiac surgery. The onset was three days after exposure to low molecular weight heparin on the eighth postoperative day. The patient was heterozygous for the factor V Leiden mutation. We have reviewed 15 patients previously diagnosed as HIT on clinical and laboratory criteria and found an incidence of 6.7% (1/15) activated protein C resistance. This second patient had a pulmonary embolus and HIT after only three days exposure to low molecular weight heparin. We postulate that factor V Leiden hastens the ons...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Chaubey, S., Davidson, S. J., DeSouza, A. C. Tags: Case report - Vascular general Source Type: journals
A technique of an upper V-type ministernotomy in the second intercostal space [Brief communication - Cardiac general]Email this article to a colleague.
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Since cardiac surgeons found themselves able to offer a less invasive access to heart and great vessels, one of the first techniques to satisfy the tendency of minimizing the surgical trauma during general cardiac surgical procedure was a ministernotomy. In the current paper, we present the technique of V-type ministernotomy in the 2nd intercostal space, which has been employed in our department from June 2007 in 85 consecutive patients (mean age: 58±18 years); those operations consisted of the aortic valve replacement (AVR), surgery of the ascending aorta and epiaortic arterial segment. (Source: Interactive Ca...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Karimov, J. H., Santarelli, F., Murzi, M., Glauber, M. Tags: Brief communication - Cardiac general Source Type: journals
eComment: Which functional tricuspid regurgitation should be surgically corrected? [eComment]Email this article to a colleague.
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(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bockeria, L. A., Skopin, I. I., Tsiskaridze, I. M. Tags: eComment Source Type: journals
Which patient undergoing mitral valve surgery should also have the tricuspid repair? [Best evidence topic - Valves]Email this article to a colleague.
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A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was ‘Which patient undergoing mitral valve surgery should also have the tricuspid repair?’ Altogether 390 papers were found using the reported search, of which 17 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. While a general agreement exists for tricuspid valve (TV) repair in cases of severe regurgitation and concomitant multivalvular d...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bianchi, G., Solinas, M., Bevilacqua, S., Glauber, M. Tags: Best evidence topic - Valves Source Type: journals
In patients with first-episode primary spontaneous pneumothorax is video-assisted thoracoscopic surgery superior to tube thoracostomy alone in terms of time to resolution of pneumothorax and incidence of recurrence? [Best evidence topic - Thoracic non-oncologic]Email this article to a colleague.
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A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed whether video-assisted thoracoscopic surgery (VATS) was justifiable for first-episode primary spontaneous pneumothorax (PSP). Altogether 183 papers were found using the reported search, of which nine represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that VATS has superior outcomes in terms of recurrence rates of pneumothorax (from 0 to 13% ...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Chambers, A., Scarci, M. Tags: Best evidence topic - Thoracic non-oncologic Source Type: journals
Can chronic neuropathic pain following thoracic surgery be predicted during the postoperative period? [Institutional report - Thoracic oncologic]Email this article to a colleague.
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Chronic pain following thoracic surgery is common and associated with neuropathic symptoms, however, the proportion of patients with neuropathic pain in the immediate postoperative period is unknown. We aimed to determine the proportion of patients who have neuropathic symptoms and signs immediately after, and at three months following thoracic surgery. The study was designed as a prospective observational cohort study. We identified patients with pain of predominantly neuropathic origin using the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) score in the immediate postoperative period and the self-report LANS...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Searle, R. D., Simpson, M. P., Simpson, K. H., Milton, R., Bennett, M. I. Tags: Institutional report - Thoracic oncologic Source Type: journals
Early outcomes of video-assisted thoracoscopic resection of thymus in 181 patients with myasthenia gravis: who are the candidates for the next morning discharge? [Institutional report - Thoracic non-oncologic]Email this article to a colleague.
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The aims of this study are to present the results of videothoracoscopic thymectomy in patients with myasthenia gravis (MG) and to predict the factors affecting the next morning discharge (NMD). This is a retrospective analysis of the prospectively recorded data of 181 consecutive myasthenic patients who underwent videothoracoscopic thymectomy from June 2002 to September 2009. Sixty-one patients (33.7%) were discharged on the next morning. Univariate and multivariate analyses were evaluated to determine the predictors for NMD. Mean calculated variables were: age (29.8 years), duration of symptoms (22.5 months), du...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Toker, A., Tanju, S., Ziyade, S., Ozkan, B., Sungur, Z., Parman, Y., Serdaroglu, P., Deymeer, F. Tags: Institutional report - Thoracic non-oncologic Source Type: journals
Long-term follow-up after minimal invasive direct coronary artery bypass grafting procedure: a multi-factorial retrospective analysis at 1000 patient-years [Institutional report - Cardiac general]Email this article to a colleague.
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We provide a multi-factorial long-term follow-up following minimal invasive direct coronary artery bypass grafting (MIDCABG) to evaluate the long-term efficacy. From 1996 onwards, 390 patients underwent MIDCABG (follow-up: 30.0±11.2 months). We analyzed peri-operative and postoperative complications (<30 days) and we obtained early and late angiography. Cumulative follow-up was 1000 patient-years. Early postoperative mortality was 0.8% and myocardial infarction occurred in 1.3% of all patients. Early postoperative angiography (<30 days) was obtained in 238 patients (66.3%) and revealed patency i...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kofidis, T., Emmert, M. Y., Paeschke, H. G., Emmert, L. S., Zhang, R., Haverich, A. Tags: Institutional report - Cardiac general Source Type: journals
Urgent segmental resection as the primary strategy in management of benign tracheal stenosis. A single center experience in 164 consecutive cases [Institutional report - Thoracic non-oncologic]Email this article to a colleague.
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The report is a retrospective review of 238 benign tracheal stenoses of various etiologies treated between 1995 and 2008. To show that urgent segmental resection has complication rates similar to elective resection and, therefore, preoperative dilation is not necessary, we analysed records of patients who underwent either standard segmental resections with anterolateral mediastinal tracheal mobilization, single-suture anastomosis and neck flexion; or insertion of T-tube with oval-shaped horizontal arm. Primary segmental resection was performed in 164 patients (68.9%), including 14 cases with concomitant tracheo-esophageal ...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Krajc, T., Janik, M., Benej, R., Lucenic, M., Majer, I., Demian, J., Harustiak, S. Tags: Institutional report - Thoracic non-oncologic Source Type: journals
An observational study of CoSeal(R) for the prevention of adhesions in pediatric cardiac surgery [Institutional report - Congenital]Email this article to a colleague.
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We sought to evaluate the utility and safety of CoSeal® Surgical Sealant (Baxter) for the prevention of cardiac adhesions in children. Seven cardiac surgery centers in Europe recruited consecutive pediatric patients requiring primary sternotomy for staged repair of congenital heart defects. Exclusion criteria included immune system disorder, unplanned reoperation, or reoperation within three months of primary repair. CoSeal was sprayed onto the surface of the heart at the end of surgery. Evaluation of adhesions took place at first reoperation. Data on safety, duration of surgery, and ease of CoSeal use were also collec...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Napoleone, C. P., Valori, A., Crupi, G., Ocello, S., Santoro, F., Vouhe, P., Weerasena, N., Gargiulo, G. Tags: Institutional report - Congenital Source Type: journals
Air-leak management after upper lobectomy in patients with fused fissure and chronic obstructive pulmonary disease: a pilot trial comparing sealant and standard treatment [Institutional report - Thoracic non-oncologic]Email this article to a colleague.
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A pilot trial to compare the efficacy of two different procedures to prevent postoperative air-leak in chronic obstructive pulmonary disease (COPD) patients submitted to upper lobectomy for non-small cell lung cancer. Sixty patients with COPD and lung cancer at the upper pulmonary lobes eligible for lobectomy were enrolled and randomly assigned either to standard treatment (ST) with stapling device or to electrocautery dissection and application of a collagen patch coated with human fibrinogen and thrombin (TachoSil®) (experimental treatment [ET]) for the intra-operative completion of their fused fissures. Thirty patie...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Rena, O., Papalia, E., Mineo, T. C., Massera, F., Pirondini, E., Turello, D., Casadio, C. Tags: Institutional report - Thoracic non-oncologic Source Type: journals
Effectiveness of sympathetic block by clipping in the treatment of hyperhidrosis and facial blushing [Institutional report - Thoracic non-oncologic]Email this article to a colleague.
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We present our experience with this technique. Sixty-one patients diagnosed for HH and/or FB were operated on VATS SN clipping. Clipping levels varied in function for the sort of disease: FB: T2, palmar HH: T3, axillary HH: T4, palmar-axillary HH: T3-4. Results were evaluated 1 week, 3 months and 12 months after surgery. Fifty-eight of the 61 patients showed improvement of their symptoms (95%). There were minor complications in three patients (5.5%). CS was seen in 38/61 (62.2%), being labelled as mild in 33/61 (54%) and severe in 5/61 patients (8.2%), no patient qualified it as intolerable and it was not ne...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Fibla, J. J., Molins, L., Manuel Mier, J., Vidal, G. Tags: Institutional report - Thoracic non-oncologic Source Type: journals
The hemiclamshell approach in thoracic surgery: indications and associated morbidity in 50 patients [Institutional report - Thoracic oncologic]Email this article to a colleague.
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In conclusion, the HCS surgical approach was associated with an uncomplicated postoperative course. This anterior approach is suitable for apical tumours, tumours of the cervicothoracic junction and ‘bulky’ lung tumours, providing good access for control of the large vessels and radical mediastinal clearance. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Lebreton, G., Baste, J.-M., Thumerel, M., Delcambre, F., Velly, J.-F., Jougon, J. Tags: Institutional report - Thoracic oncologic Source Type: journals
Malignant pleural effusion in the presence of trapped lung. Five-year experience of PleurX tunnelled catheters [Institutional report - Thoracic oncologic]Email this article to a colleague.
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We describe our five-year experience with the use of indwelling PleurX catheters in patients with malignant pleural effusions in the presence of confirmed trapped lung on radiological or VATS investigation. Patient health related quality of life was investigated by telephone questionnaire. The parameters analysed were symptomatic relief, mobility and ease of management following insertion. One hundred and sixteen patients underwent PleurX catheter insertion by a single operator, 48 questionnaires were completed. Of the 48 cases analysed, improvement in all three quality of life indices was recorded following catheter inser...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Efthymiou, C. A., Masudi, T., Charles Thorpe, J. A., Papagiannopoulos, K. Tags: Institutional report - Thoracic oncologic Source Type: journals
eComment: Monitoring of atrial fibrillation burden after surgical ablation [eComment]Email this article to a colleague.
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(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bockeria, L., Revishvili, A. Sh., Dzhordzhikiya, T. R. Tags: eComment Source Type: journals
Monitoring of atrial fibrillation burden after surgical ablation: relevancy of end-point criteria after radiofrequency ablation treatment of patients with lone atrial fibrillation [Institutional report - Arrhythmia]Email this article to a colleague.
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Studies have shown that continuous rhythm monitoring enables the detection of significantly more atrial fibrillation (AF) episodes than routine follow-up of patients, i.e. based on perception of symptoms or on 24–48 h Holter monitoring. The positive outcome of radiofrequency ablation (RFA) may be easily overestimated, especially in patients with paroxysmal AF. Thirty-three consecutive patients, aged 59.4±8.9 years (range 38–75 years) participated in this study. All patients had documented AF episodes with an AF duration of 9.4±7.1 years (range 1.5–25 years). A new monitor...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Beukema, R., Beukema, W. P., Sie, H. T., Misier, A. R., Delnoy, P. P., Elvan, A. Tags: Institutional report - Arrhythmia Source Type: journals
Myocyte injury along myofibers in left ventricular remodeling after myocardial infarction [Institutional report - Cardiac general]Email this article to a colleague.
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Left ventricular (LV) remodeling following myocardial infarction (MI) is considered to contribute to cardiac dysfunction. Though myofiber organization is a key component of cardiac structure, functional and anatomical features of injured myofiber during LV remodeling have not been fully defined. We investigated myocyte injury after acute MI in a mouse model. Mice were subjected to surgical coronary occlusion/reperfusion by left anterior descending coronary artery (LAD) ligation and examined at 1 week and 4 weeks post-MI. Magnetic resonance imaging (MRI) analysis demonstrated a significant decrease in systolic reg...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kusakari, Y., Xiao, C.-Y., Himes, N., Kinsella, S. D., Takahashi, M., Rosenzweig, A., Matsui, T. Tags: Institutional report - Cardiac general Source Type: journals
Endovascular treatment of thoracic aortic pathology in renal transplant recipients: early and intermediate-term results [Work in progress report - Aortic and aneurysmal]Email this article to a colleague.
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Endovascular correction of aorta thoracic pathology in renal transplant patients is a challenge. The aim of this study is to review early and intermediate-term results of endovascular repair of thoracic aorta pathology in patients with functioning previous renal transplant. The records of 81 patients submitted to a thoracic endograft between 2003 and 2008 were reviewed. Five patients with six previous renal transplants were submitted to six thoracic endografting. Two were women. The mean age was 55.4 years (range, 43–75 years). There were two patients with type B aortic dissection, one penetrating ulcer, on...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Da Rocha, M., Zarka, Z. A., Riambau, V. A. Tags: Work in progress report - Aortic and aneurysmal Source Type: journals
Effect of 5-azacytidine induction duration on differentiation of human first-trimester fetal mesenchymal stem cells towards cardiomyocyte-like cells [Work in progress report - Experimental]Email this article to a colleague.
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The aim of this study is to investigate effects of 5-azacytidine (5-aza) induction duration on differentiation of bone marrow mesenchymal stem cells (MSCs) from human first-trimester abortus (hfMSCs) towards cardiomyocyte-like cells. hfMSCs were stimulated with 10 µmol/l 5-aza for 24 h (group A), 48 h (group B) and 21 days (group C), respectively. During the induction, 30–40% of the cells gradually enlarged, elongated, connected with adjoining cells and formed myotube-like structures, branches and string-bead-like nuclei. Some of the cells congregated into cell clusters or strips. After the ...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Zhang, Y., Chu, Y., Shen, W., Dou, Z. Tags: Work in progress report - Experimental Source Type: journals
Graft fixation with a side graft holder for sequential and composite graft anastomosis in coronary artery bypass surgery [Work in progress report - Coronary]Email this article to a colleague.
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The purpose of this study was to assess the feasibility and effectiveness of graft fixation with a novel side graft holder for sequential or composite graft anastomosis in coronary artery bypass grafting (CABG). Records of 34 patients who underwent CABG using sequential or composite graft anastomosis technique were reviewed. The device was used on 47 anastomoses (sequential=43; composite graft=4). Excellent fixation and visualization of the graft was obtained in all patients without graft injury. Postoperative angiographic patency rate of distal anastomoses was 95.2% (arterial, 91.2%; venous, 96.7%). All sequential and com...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Shimamura, Y., Hayashi, I. Tags: Work in progress report - Coronary Source Type: journals
Influence of major pulmonary resection on postoperative daily ambulatory activity of the patients [Work in progress report - Thoracic non-oncologic]Email this article to a colleague.
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To describe and compare the daily ambulatory activity of the patients before and one month after major lung resection. Daily activity was measured using a pedometer (OMROM Walking Style PRO®) given preoperatively in a prospective way to a series of 21 consecutive cases scheduled for lobectomy or pneumonectomy. Analyzed variables were age, pulmonary function, mean number of total and aerobic steps per day, walked distance and mean daily time of aerobic activity. Activity variables were analyzed individually and as a new differential variable DELTA. Wilcoxon and Mann–Whitney nonparametric tests were used for compar...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Novoa, N., Varela, G., Jimenez, M. F., Aranda, J. L. Tags: Work in progress report - Thoracic non-oncologic Source Type: journals
Controlled antegrade single lung reperfusion during double lung transplant [New ideas - Pulmonary]Email this article to a colleague.
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Prompt controlled reperfusion of a pulmonary allograft in a sequential double lung transplant may correct cellular ischemia prior to exposure to full hydrostatic pressures and minimize organ dysfunction. We reviewed the process of a sequential double lung transplant and describe the technique of controlled antegrade graft reperfusion of the initial implant as performed at our institution. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Khalpey, Z., Gilfeather, M. S., Camp, P. C., Jaklitsch, M. T. Tags: New ideas - Pulmonary Source Type: journals
Lung function evaluation before surgery in lung cancer patients: how are recent advances put into practice? A survey among members of the European Society of Thoracic Surgeons (ESTS) and of the Thoracic Oncology Section of the European Respiratory Society (ERS) [Editorial - Thoracic oncologic]Email this article to a colleague.
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(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Charloux, A., Brunelli, A., Bolliger, C. T., Rocco, G., Sculier, J.-P., Varela, G., Licker, M., Ferguson, M. K., Faivre-Finn, C., Huber, R. M., Clini, E. M., Win, T., De Ruysscher, D., Goldman, L., on behalf of the European Respiratory Society and Europea Tags: Editorial - Thoracic oncologic Source Type: journals
eComment: Cardiac papillary fibroelastoma: a current assessment [eComment]Email this article to a colleague.
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(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Koniari, I., Apostolakis, E., Baikoussis, N. G. Tags: eComment Source Type: journals
Multiple papillary fibroelastoma in left ventricle associated with obstructive hypertrophic cardiomyopathy [Case report - Cardiac general]Email this article to a colleague.
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A 68-year-old man was referred to our hospital with a left ventricular (LV) mass and obstructive hypertrophic cardiomyopathy (HOCM). Although he was treated for the LV thrombosis and received anticoagulation therapy, the mass did not decrease in size for three years. His past history was colon cancer which was resected in its early phase. Laboratory studies revealed the absence of any inflammatory and tumor marker symptoms. Transthoracic and transesophageal echocardiography revealed a mass of 24x11 mm in diameter attached to the septal wall of LV and another two or three masses detected in LV wall. He received surgica...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kobayashi, Y., Saito, S., Yamazaki, K., Kurosawa, H. Tags: Cardiac - other Case report - Cardiac general Source Type: journals
Left ventricular assist device placement in a patient with end-stage heart failure and human immunodeficiency virus [Case report - Assisted circulation]Email this article to a colleague.
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We present a report of a 60-year-old male patient with end-stage heart failure and cardiomyopathy with a history of human immunodeficiency virus (HIV) infection who underwent LVAD placement as destination therapy. To our knowledge, LVAD placement in this fashion has not been reported previously. Following LVAD implantation, the patient recovered during the course of five weeks and was discharged home from the hospital in good condition. The patient was alive and free of any activity limitations sixteen months postoperatively. We conclude that LVAD placement for end-stage heart failure may be a feasible option as destinatio...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Fieno, D. S., Czer, L. S., Schwarz, E. R., Simsir, S. Tags: Cardiac - other, Mechanical Circulatory Assistance Case report - Assisted circulation Source Type: journals
Non-surgical closure of post-pneumonectomy empyema with bronchopleural fistula after open window thoracotomy using basic fibroblast growth factor [Case report - Thoracic non-oncologic]Email this article to a colleague.
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We report a case of post-pneumonectomy empyema with BPF that was treated by non-surgical closure after open-window thoracotomy (OWT) with the use of basic fibroblast growth factor (bFGF), which was sprayed into the unepithelialized empyema cavity transiting from epidermis and surrounding the fistula. After spraying, the orifice of the OWT was covered by a film dressing. This procedure yielded successful results after two months. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Okuda, M., Yokomise, H., Tarumi, S., Huang, C.-L. Tags: Lung - other, Pleura Case report - Thoracic non-oncologic Source Type: journals
Catastrophic presentation of atrial myxoma with total occlusion of abdominal aorta [Case report - Cardiac general]Email this article to a colleague.
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We report a patient with cardiac myxoma presenting with multi-organ embolism including saddle embolism of the aorta in a previously healthy female. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Yadav, S., Alvarez, J. M. Tags: Cardiac - other, Great vessels, Peripheral vascular Case report - Cardiac general Source Type: journals
Emergent surgery for ruptured aortic arch aneurysm in an octogenarian patient: quo vadis? [Case report - Cardiac general]Email this article to a colleague.
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We present the case of an 87-year-old man with a ruptured aortic arch aneurysm with a good surgical outcome. We discuss the clinical impact of the surgical treatment in this group of patients. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gualis, J., Castano, M., Gomez-Plana, J., Mencia, P. Tags: Cardiac - other, Great vessels Case report - Cardiac general Source Type: journals
Heartmate XVE(R) destination therapy for end-stage heart failure in a patient with human immunodeficiency virus [Case report - Assisted circulation]Email this article to a colleague.
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In this report, we describe a human immunodeficiency virus (HIV)-infected patient with worsening heart failure who was managed successfully for 16 months with placement of a left ventricular assist device. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mehmood, S., Blais, D., Martin, S., Sai-Sudhakar, C. Tags: Congestive Heart Failure, Mechanical Circulatory Assistance Case report - Assisted circulation Source Type: journals
Aorta non-touch coronary artery bypass grafting after total arch replacement for acute type A aortic dissection [Case report - Vascular thoracic]Email this article to a colleague.
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We report successful surgical treatment of coronary artery disease (CAD) in a 53-year-old man. The man was admitted to our hospital due to severe anterior chest pain. He had a surgical history of total arch replacement for acute type A dissection 10 years previously. Angiography showed triple-vessel disease and partial dissection of the descending aorta. To avoid excessive excision and to perform surgery safely, we chose aorta non-touch techniques for coronary artery bypass grafting (CABG). The postoperative course was uneventful and the patient was discharged 30 days after surgery. (Source: Interactive CardioVas...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Takahashi, Y., Tsutsumi, Y., Monta, O., Ohashi, H. Tags: Coronary disease, Great vessels Case report - Vascular thoracic Source Type: journals
Thymic neuroblastoma with the syndrome of inappropriate secretion of antidiuretic hormone [Case report - Thoracic oncologic]Email this article to a colleague.
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We describe a rare case of thymic neuroblastoma with the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). A 60-year-old male patient was admitted to our hospital for further examination and treatment of anterior mediastinal tumor found at a regular health check-up. On examination there was hyponatremia, decrease in plasma osmolarity and elevation of plasma antidiuretic hormone (ADH) level. Thus, he underwent total thymectomy under the diagnosis of thymoma with SIADH. The tumor was located in the right lobe of the thymus and the final diagnosis was thymic neuroblastoma. To our knowledge, this is the firs...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ogawa, F., Amano, H., Iyoda, A., Satoh, Y. Tags: Mediastinum Case report - Thoracic oncologic Source Type: journals
Use of Amplatzer device for endobronchial closure of bronchopleural fistulas [Case report - Thoracic oncologic]Email this article to a colleague.
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We describe another additional, less invasive bronchoscopic modality – the use of an atrial septal closure device. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gulkarov, I., Paul, S., Altorki, N. K., Lee, P. C. Tags: Lung - cancer Case report - Thoracic oncologic Source Type: journals
Aortogenic cerebrovascular accident [Case report - Vascular thoracic]Email this article to a colleague.
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A 59-year-old man was transferred to our hospital because of mural thrombus in the ascending aorta. He had suffered some neurological dysfunctions such as transient dysorientation. Electrocardiogram showed normal sinus rhythm without premature beats. Trans-thoracic echocardiogram and three-dimensional CT showed a mobile mural mass sticking to the ascending aortic wall. No coagulopathy was detected in the patient. The mural masses were thought to be a possible cause of the repeated cerebro-vascular symptoms. Under cardiopulmonary bypass and cardiac arrest, the masses were removed including the mass sticking to the aortic wa...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ohki, S.-i., Kubota, I., Aizawa, K., Misawa, Y. Tags: Case report - Vascular thoracic Source Type: journals
Successful salvage right upper lobectomy and flap repair of trachea-esophageal fistula due to severe necrotizing pneumonia [Case report - Thoracic oncologic]Email this article to a colleague.
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A 55-year-old previously well man developed a severe pneumonia. Endoscopy found tracheal and esophageal fistulae communicating with the right lung and pleural space. Bilateral main bronchi intubation was required. Emergency surgery was performed with a latissimus dorsi and serratus anterior muscle flap to close the tracheal and esophageal fistulae. The right upper lobe was found to be destroyed and resected. It was possible to salvage the patient who was discharged home despite challenging anesthetic and surgical circumstances. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Evans, B., MacKenzie, I., Malata, C., Coonar, A. Tags: Anesthesia, Lung - cancer, Trachea and bronchi, Esophagus - other Case report - Thoracic oncologic Source Type: journals
A strategy for safe sternal reentry in patients with pseudoaneurysms of the ascending aorta using the PORT-ACCESS EndoCPB system [Case report - Cardiac general]Email this article to a colleague.
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Pseudoaneurysms of the ascending aorta developing after previous aortic or aortic valve surgery pose a high risk of exsanguination upon sternal reentry. In the past, femorofemoral bypass and hypothermic circulatory arrest before sternotomy was the preferred approach. Today, however, availability of the PORT-ACCESS EndoCPB system (Edwards Lifesciences, Irvine, CA, USA) allows for endovascular clamping and cardioplegia before sternotomy, avoiding circulatory arrest. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Reyes, K. G., Pettersson, G. B., Mihaljevic, T., Roselli, E. E. Tags: Cardiac - other, Great vessels, Valve disease Case report - Cardiac general Source Type: journals
A novel internal thoracic artery harvesting technique via subxiphoid approach - for the least invasive coronary artery bypass grafting [Case report - Coronary]Email this article to a colleague.
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In this report, we describe a new method of robotically assisted internal thoracic artery (ITA) harvesting via subxiphoid approach, using the da Vinci surgical system. A 22-year-old man with three-vessel coronary artery disease due to Kawasaki disease was referred to our institution for coronary artery revascularization. A small subxiphoid incision was made, and the xiphoid process at the lower end of the sternum was excised. A U-shaped hook was inserted into the retrosternal space, and the lower sternum was lifted. A 30° angle-up camera was inserted under the U-shaped hook, bilateral ITAs were harvested in a totally s...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Takata, M., Watanabe, G., Ushijima, T., Ishikawa, N. Tags: Coronary disease, Minimally invasive surgery Case report - Coronary Source Type: journals
Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts surgical appearance and obviates need for invasive cardiac catheterization [Case report - Aortic and aneurysmal]Email this article to a colleague.
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We present a case report of a ruptured sinus of Valsalva aneurysm (SVA) that presented as aortic insufficiency following bacterial endocarditits in a cardiac transplant patient. Cardiac computed tomographic angiography (CCTA) including volume rendered images predicted the appearance of the fistula entrance and defined spatial relationships facilitating the surgical approach. CCTA ability to define the coronary anatomy obviated the need for invasive coronary angiography. The use of this imaging modality especially with three-dimensional spatial visualization, and multiphase cine angiography can add significant value to the ...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ro, T. K., Cotter, B. R., Simsir, S. A., Karlsberg, R. P. Tags: Cardiac - other, Valve disease Case report - Aortic and aneurysmal Source Type: journals
